DOCSLIB.ORG

Original Article Causes of Excessive Blinking in Children Aged 4-12 Years

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Original Article Causes of Excessive Blinking in Children Aged 4-12 Years Int J Clin Exp Med 2019;12(8):10747-10754 www.ijcem.com /ISSN:1940-5901/IJCEM0094898 Original Article Causes of excessive blinking in children aged 4-12 years Ru-Lian Zhao, Yang Wang, Min Liu, Yong Li, Lian-Hong Pi Department of Ophthalmology, Children’s Hospital, Chongqing Medical University, Chongqing 400014, China Received April 4, 2019; Accepted June 10, 2019; Epub August 15, 2019; Published August 30, 2019 Abstract: The current study aimed to investigate causes of excessive blinking in children aged 4 to 12 years, provid- ing evidence for clinical treatment of abnormal blinking in children. A total of 578 children complaining of excessive blinking were recruited. Moreover, a total of 370 children without excessive blinking served as controls. Results showed that children with excessive blinking might have a single etiology or multiple etiologies together. Occurrence of excessive blinking was negatively correlated with age (P<0.001) and affected by sex (P=0.008). There were sig- nificant differences in tear break-up times (P<0.001), allergic conjunctivitis (P<0.001), corneal epithelial injuries (P=0.013), diopters of children with ametropia (P=0.001), and times of video display terminal (P<0.001) between three age groups. Allergic conjunctivitis (P<0.001), positive corneal fluorescein staining (P<0.001), conjunctival li- thiasis/trichiasis (P<0.001), and times of video display terminal (P<0.001) had a negative relationship with breakup times of tear film. Allergic conjunctivitis and conjunctival lithiasis/trichiasis showed positive relationships with cor- neal fluorescein staining (P<0.001). Times of video display terminal were positively related to diopters of myopia- related ametropia (P=0.001). All subjects had mild ametropia. In addition, there were significant differences in breakup times of tear film between children with excessive blinking and controls (P=0.047). Thus, ocular surface diseases, refractive problems, times of video exposure, and tic disorders are causes of excessive blinking. Of these factors, ocular surface diseases and times of video exposure have relationships with breakup times of tear film. Moreover, these factors may interact with each other, causing deterioration of excessive blinking. Keywords: Child, blinking, breakup times of tear film, ocular surface disease, times of video display terminal, tic disorders Introduction eyebrows, wrinkling the forehead, and sucking the nose. Excessive blinking has become a Blinking occurrence is normally about 10-15 common disease in the Department of Pediatric blinks/minute. Each blink lasts for 0.3-0.4 sec- Ophthalmology. In some children, excessive onds, with an interval of 3-4 seconds between blinking is misdiagnosed as infectious kerato- blinks. Blinking is a natural neural reflex of the conjunctivitis, causing long term use of eye eyelid. It plays an important role in adaptive drops after misdiagnosis. This may increase human behaviors [1]. Excessive blinking is de- incidence of ocular discomforts and injuries. It fined as a frequency of blinking higher than 15 may even cause side effects of some drugs [5, blinks/minute [2, 3]. Excessive blinking is of- 6]. Some parents do not pay attention. This may ten accompanied by ocular symptoms (such as contribute to deterioration of the disease and itchy eyes, foreign body sensation of the eyes, delay correct treatment. In addition, some par- ocular fatigue, and photophobia) and charac- ents become nervous about this disease and terized by excessive unilateral or bilateral eyelid misdiagnose it as “tic disorder”. Thus, some closure and opening with or without abnormal inhibitory drugs have been used for treatment eyeball movement. Excessive blinking is often of excessive blinking. These may not only ca- intermittent and recurrent. It is difficult to con- use side effects, but also bring adverse somat- trol. In addition, it may be attenuated during ic and psychological effects [7]. It usually gazing and disappear after blinking for several causes significant psychological burden to chil- weeks or months. It may recur after disappear- dren and their parents. Doane and others [8, 9] ance [4]. Some children with excessive blinking aimed to identify the mechanical properties of develop other symptoms, such as crowing the blinking. Blinking phenomena have been exten- Excessive blinking in children sively studied in various contexts of disease, Exclusion criteria: (1) Children did not cooper- such as dry eyes and visual tasks, as well as ate with examinations; (2) Parents or guardians systemic disease [10, 11]. Causes of excessive refused to participate in this study; (3) Children blinking are complex. They may include ocular were allergic to fluorescein; and (4) Children disease, systemic disease, and psychological received treatment for excessive blinking be- disease [12]. Excessive blinking has significan- fore the study. tly affected the learning abilities of children. Despite a plethora of information concerning Methods and data processing blinking disorders in adulthood, relatively little information exists for evaluation and manage- The following information was collected by in- ment of children presenting with blinking disor- terviewing parents or guardians: (1) Gender, ders. Nonstandard diagnosis and treatments age, duration, and frequency of signs and symp- of excessive blinking also cause significant ad- toms; (2) History of allergies, including the fam- verse effects in children and their families. The- ily history of allergies and allergic diseases; (3) refore, more attention should be paid to the Concomitant focal and systemic symptoms dur- diagnosis and treatment of children with exces- ing excessive blinking; (4) Diagnosis of tic dis- sive blinking. Thus, it is imperative to investi- orders; (5) Prior diagnosis and treatment of gate and identify causes of excessive blinking, excessive blinking and use of eye drops or anti- taking targeted treatment. This may assist in biotics; and (6) Times of video display terminal avoiding misdiagnosis and mistreatment. (VDT) each day. The current study investigated children with Slit-lamp examination: (1) Routine eye examina- excessive blinking. Possible causes of exces- tion: Eyelids, eyelashes, conjunctiva, and cor- sive blinking were explored in these children, nea were examined for papilla, follicles, stones, aiming to provide evidence for clinical treat- injury, inflammation, foreign bodies, and scars; ment of abnormal blinking in children. (2) Tear meniscus height (TMH): Abnormal tear secretion was defined as TMH lower than 0.3 Materials and methods mm; (3) Breakup times of tear film (BUT): BUT General characteristics was measured thrice and the mean was cal- culated. Decreases in tear film stability were This study adhered to the tenets of the De- defined as BUT lower than 10 seconds; and (4) claration of Helsinki and was approved by the Corneal fluorescein staining (FLS): Positive st- Institutional Review Board of Children’s Hos- aining suggests corneal epithelial injury [13]. pital, Chongqing Medical University. Consent for publication was obtained from all partici- Allergen examination: Skin prick tests were pants. employed to examine common inhaled aller- gens. A positive reaction is defined as a light This study was conducted on children present- yellow rash with surrounding erythema. History ing to the Ophthalmology Clinic with excessive of allergies, family history of allergies, eye ex- blinking. The study was conducted between aminations, and allergen examinations were December 2016 and November 2018. A total employed for diagnosis of allergic conjuncti- of 578 children, including 341 boys and 237 vitis (AC) [14]. girls, with excessive blinking ages from 4 to 12 years old, served as the observation group. In Vision examination: The International Visual addition, 370 matched children without exces- Chart was used for vision examinations. When sive blinking, including 220 boys and 150 girls, visual acuity was ≤0.6 for children aged 4 years were randomly recruited as controls. and ≤0.8 for children aged ≥5 years, abnormal visual acuity was diagnosed [15]. Inclusion criteria: (1) Children with excessive blinking as the chief complaint; (2) Informed Autorefractor (RK-8100; Topcon, Tokyo, Japan): consent was obtained from parents or guard- This was performed three times and the mean ians; (3) Children cooperated with examina- was calculated. When vision examinations and tions; and (4) Children did not receive prior autorefractors indicated abnormal, cycloplegic treatment for excessive blinking. retinoscopy procedures were performed. 10748 Int J Clin Exp Med 2019;12(8):10747-10754 Excessive blinking in children Table 1. Numbers of TD and AC of 3 groups in the observation group tropia, and tic disor- TD AC ders with BUT were Group Boy Girl Boy Girl Boy Girl also explored. Relati- onships between aller- 4-6 y 171 100 8 3 116 (67.84%) 48 (48.00%) gic conjunctivitis, con- 7-9 y 114 92 5 2 52 (45.61%) 34 (36.96%) junctival lithiasis/trich- 10-12 y 56 45 3 2 20 (35.71%) 13 (28.89%) iasis with positive FLS, Total Number 341 237 16 7 188 (55.13%) 95 (40.08%) and times of video dis- Proportion 59.00% 41.00% 2.77% 1.22% 32.52% 16.43% play terminal with ty- Total proportion 100.00% 3.99% 48.95% pes of ametropia were Notes: observation group: children with excessive blinking; AC: allergic conjunctivitis; TD: Tic also explored. P<0.05 disorder. indicates statistical si- gnificance. Cycloplegic retinoscopy: 1% Atropine sulfate Pearson’s correlation analysis included the eye gel was used three times a day for 3 days amount of frequent blinking and ages of the to the children <7 years; 1% cyclopentolate children. BUT and times of video display termi- was used three times with the interval of 10 nal were also included, as well as times of video minutes for children ≥7 years. Pupillary reac- display terminal and diopters of ametropia. tions were then tested. Cycloplegia is defined P<0.05 indicates statistical significance. as absence of pupillary light reflex. Streak reti- noscope (YZ24; Six Six Vision Corp, Suzhou, Paired-t tests were employed for comparisons China) was used for retinoscopy [16].
Load more

Recommended publications
  • Tear Film Break-Up Time and Dry Eye Disease Severity in a Large Norwegian Cohort
    Journal of Clinical Medicine Article Tear Film Break-Up Time and Dry Eye Disease Severity in a Large Norwegian Cohort Mazyar Yazdani 1,2,* , Jørgen Fiskådal 1, Xiangjun Chen 1,3,4, Øygunn A. Utheim 1,2,5, Sten Ræder 1, Valeria Vitelli 6 and Tor P. Utheim 1,2,3,4,5,7,8 1 The Norwegian Dry Eye Clinic, 0366 Oslo, Norway; jorgen_fi[email protected] (J.F.); [email protected] (X.C.); [email protected] (Ø.A.U.); [email protected] (S.R.); [email protected] (T.P.U.) 2 Department of Medical Biochemistry, Oslo University Hospital, 0450 Oslo, Norway 3 Department of Oral Surgery and Oral Medicine, University of Oslo, 0317 Oslo, Norway 4 Department of Ophthalmology, Sørlandet Hospital Arendal, 4604 Arendal, Norway 5 Department of Ophthalmology, Oslo University Hospital, 0450 Oslo, Norway 6 Oslo Center for Biostatistics and Epidemiology, Department of Biostatistics, University of Oslo, Sognsvannsveien 9, 0372 Oslo, Norway; [email protected] 7 Department of Ophthalmology, Stavanger University Hospital, 4011 Stavanger, Norway 8 Department of Plastic and Reconstructive Surgery, Oslo University Hospital, 0450 Oslo, Norway * Correspondence: [email protected] Abstract: This study evaluated to what extent tear film break-up time (TFBUT) could discriminate pathological scores for other clinical tests and explore the associations between them. Dry eye patients (n = 2094) were examined for ocular surface disease index (OSDI), tear film osmolarity (Osm), TFBUT, blink interval, ocular protection index (OPI), ocular surface staining (OSS), Schirmer I test, meibomian expressibility, meibomian quality, and meibomian gland dysfunction. The results were grouped into eight levels of break-up time (≤2, ≥3, ≤5, ≥6, ≤10, ≥11, ≤15, and ≥16) with or without sex stratification.
    [Show full text]
  • Spontaneous and Reflex Activity of Facial Muscles in Dystonia
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.64.3.320 on 1 March 1998. Downloaded from 320 J Neurol Neurosurg Psychiatry 1998;64:320–324 Spontaneous and reflex activity of facial muscles in dystonia, Parkinson’s disease, and in normal subjects Günther Deuschl, Christof Goddemeier Abstract darkness or blindness change blink rate only to Objective—The blink rate is an index a limited extent.1 However, physiological fac- which can be easily obtained during the tors related to the subjects’ general status clinical examination, but it has not yet including attention seem to be much more been properly standardised. The present important.12 study was undertaken to collect data on From the neurological point of view central the age dependent development of this regulation of the blink rate is of special interest index and on possible abnormalities in as diVerent pathological conditions can modu- Parkinson’s disease and dystonia. late the blink rate. Reduction of the blink rate Methods—The blink rate and the rate of has been found in Parkinson’s disease,3 in pro- perioral movements were measured in 156 gressive supranuclear palsy,4 and in subjects normal controls, 51 patients with Parkin- taking dopamine receptor blockers.5 This son’s disease, 48 patients with spasmodic reduction is considered to be such a well torticollis, 14 patients with generalised defined feature of Parkinson’s disease that it is dystonia, and 12 patients with focal hand even part of an item of the unified Parkinson’s or leg dystonias and have been correlated disease rating scale.6 An increase of the blink with the results of testing the orbicularis rate has not yet been established as a diagnos- oculi reflex, the palmomental reflex, and tic sign although it has been found in some the perioral reflex.
    [Show full text]
  • The Complexity and Origins of the Human Eye: a Brief Study on the Anatomy, Physiology, and Origin of the Eye
    Running Head: THE COMPLEX HUMAN EYE 1 The Complexity and Origins of the Human Eye: A Brief Study on the Anatomy, Physiology, and Origin of the Eye Evan Sebastian A Senior Thesis submitted in partial fulfillment of the requirements for graduation in the Honors Program Liberty University Spring 2010 THE COMPLEX HUMAN EYE 2 Acceptance of Senior Honors Thesis This Senior Honors Thesis is accepted in partial fulfillment of the requirements for graduation from the Honors Program of Liberty University. ______________________________ David A. Titcomb, PT, DPT Thesis Chair ______________________________ David DeWitt, Ph.D. Committee Member ______________________________ Garth McGibbon, M.S. Committee Member ______________________________ Marilyn Gadomski, Ph.D. Assistant Honors Director ______________________________ Date THE COMPLEX HUMAN EYE 3 Abstract The human eye has been the cause of much controversy in regards to its complexity and how the human eye came to be. Through following and discussing the anatomical and physiological functions of the eye, a better understanding of the argument of origins can be seen. The anatomy of the human eye and its many functions are clearly seen, through its complexity. When observing the intricacy of vision and all of the different aspects and connections, it does seem that the human eye is a miracle, no matter its origins. Major biological functions and processes occurring in the retina show the intensity of the eye’s intricacy. After viewing the eye and reviewing its anatomical and physiological domain, arguments regarding its origins are more clearly seen and understood. Evolutionary theory, in terms of Darwin’s thoughts, theorized fossilization of animals, computer simulations of eye evolution, and new research on supposed prior genes occurring in lower life forms leading to human life.
    [Show full text]
  • Dualblink: a Wearable Device to Continuously Detect, Track, and Actuate Blinking for Alleviating Dry Eyes and Computer Vision Syndrome
    1 DualBlink: A Wearable Device to Continuously Detect, Track, and Actuate Blinking For Alleviating Dry Eyes and Computer Vision Syndrome ARTEM DEMENTYEV, Microsoft Research, Redmond & MIT Media Lab CHRISTIAN HOLZ, Microsoft Research, Redmond Increased visual attention, such as during computer use leads to less blinking, which can cause dry eyes—the leading cause of computer vision syndrome. As people spend more time looking at screens on mobile and desktop devices, computer vision syndrome is becoming epidemic in today’s population, leading to blurry vision, fatigue, and a reduced quality of life. One way to alleviate dry eyes is increased blinking. In this paper, we present a series of glasses-mounted devices that track the wearer’s blink rate and, upon absent blinks, trigger blinks through actuation: light ashes, physical taps, and small pus of air near the eye. We conducted a user study to evaluate the eectiveness of our devices and found that air pu and physical tap actuations result in a 36% increase in participants’ average blink rate. Air pu thereby struck the best compromise between eective blink actuations and low distraction ratings from participants. In a follow-up study, we found that high intensity, short pus near the eye were most eective in triggering blinks while receiving only low-rated distraction and invasiveness ratings from participants. We conclude this paper with two miniaturized and self-contained DualBlink prototypes, one integrated into the frame of a pair of glasses and the other one as a clip-on for existing glasses. We believe that DualBlink can serve as an always-available and viable option to treat computer vision syndrome in the future.
    [Show full text]
  • Observations Upon the Movements of the Eyelids* by G
    Br J Ophthalmol: first published as 10.1136/bjo.35.6.339 on 1 June 1951. Downloaded from Brit. J. Ophthal., 35, 339. OBSERVATIONS UPON THE MOVEMENTS OF THE EYELIDS* BY G. GORDON Laboratory ofPhysiology, Oxford University THE human M. orbicularis oculi takes part in many patterns of movement. Some of these, like the- corneal reflex, the narrowing of the palpebral orifice in bright light, or the adjustments which accompany upward or downward rotation. of the eyeball, are connected in a comprehensible way with the eye itself. The muscle also plays its part in complex movements of the face, such as smiling. A third and particularly interesting type of movement is that of unconscious blinking, the pattern of which is undoubtedly related to visual perception (Hall, 1945), but which nevertheless occurs with about the normal frequency both in the blind, and in subjects in whom the cornea has been made anaesthetic (Ponder and Kennedy, 1928). copyright. It is known from direct observation that there is some functional subdivision between the different anatomical regions ofthe orbicularis (Gad, 1883; Whitnall, 1921), and an attempt is made in this communication to amplify these earlier descriptions by means of electromyographic observations. It was found in the course of another investigation (Gordon and Holbourn, 1948) that the action http://bjo.bmj.com/ potentials of single motor units could easily be recorded by means of wire electrodes placed upon the surface of the eyelids, and in this way one may get definite information about the activity of the motor neurones supplying this muscle. The opportunity has also been taken to investigate the activity of M.
    [Show full text]
  • Eye Blinking On-A-Chip 24 March 2020
    Eye blinking on-a-chip 24 March 2020 Kyoto University pharmaceutical scientist Rodi Abdalkader and micro-engineer Ken-ichiro Kamei collaborated to develop a device that overcomes these issues. They 3-D-printed a device that contains four upper and four lower channels, separated by a clear polyester porous membrane. Corneal cells are incubated in each upper channel on top of the membrane. After seven days, they form a barrier of cells that separates the upper and lower channels. Fluid is then moved through the device to emulate the pressure exerted on one side of the cornea by a blinking eyelid and moving tears, and on the other side by the fluid of the inner eye. The new "cornea-on-a-chip" device can reproduce the pressure of moving tears inside a blinking eyelid, and can more accurately test the effects of drugs on the human eye. Credit: Mindy Takamiya/Kyoto University iCeMS Researchers at Kyoto University's Institute for Integrated Cell-Material Sciences (iCeMS) have developed a device that moves fluids over corneal cells similarly to the movement of tears over a blinking eye. The scientists hope their findings, reported in the journal Lab on a Chip, will help The newly developed device Credit: Kyoto University iCeMS improve ophthalmic drug development and testing, and advance understanding of how blinking affects the corneal surface. Interestingly, they found that this movement The cornea is the transparent disc that covers the changed the shape of the cells and increased the central surface of the eye. It acts as a protective production of filaments, which are known for barrier against dust, germs, and other potentially keeping corneal cells flexible and elastic.
    [Show full text]
  • Disturbances of Ocular Movements and Blinking in Schizophrenia
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.41.11.1024 on 1 November 1978. Downloaded from Journal ofNeurology, Neurosurgery, andPsychiatry, 1978, 41, 1024-1030 Disturbances of ocular movements and blinking in schizophrenia JANICE R. STEVENS From the Departments of Neurology and Psychiatry, University of Oregon Health Sciences Center, Portland, Oregon, USA S U M M A R Y Neurological examination and electroencephalograms and electro-oculograms, recorded by telemetry, from unmedicated patients with acute and chronic schizophrenia demonstrate a number of abnormalities of extraocular movement including staring, abnormai blink rate, absent glabellar reflex, and increase in horizontal eye movements. As potential clues to the pathophysiology of schizophrenia, these disturbances are analysed in relation to anatomical substrate and dopamine modulation of ocular movement, rapid eye movement sleep, and the neurological disorders in which similar disturbances of ocular movement occur. by guest. Protected copyright. In distinguishing dementia praecox from other consciousness; delusions, hallucinations, or formal forms of mental illness, Kraepelin (1913) called thought disorder; restricted affect; absence of signs attention to a number of ocular signs of the dis- and symptoms sufficient to make a diagnosis of order, including pupillary abnormalities, staring, affective illness or coarse brain disease. In ad- nystagmus, abnormal blinking, and blepharospasm. dition to the neurological examination, 36 of the Widespread use of neuroleptic medications has 55 medication-free patients and 12 normal control now induced a variety of neurological side effects subjects have had 2-24 hour electroencephalo- and sequelae which obscure the incidence of these grams (EEG) and electro-oculograms (EOG) signs and their relevance to the pathology of the recorded by radiotelemetry during which spontane- schizophrenias.
    [Show full text]
  • What Phasic Eye Blink Rate Reveals Jessica Elaina Mcgovern Louisiana State University and Agricultural and Mechanical College, [email protected]
    Louisiana State University LSU Digital Commons LSU Doctoral Dissertations Graduate School 8-29-2018 The B( )link Between Amotivation and Dopamine in Psychosis: What Phasic Eye Blink Rate Reveals Jessica Elaina McGovern Louisiana State University and Agricultural and Mechanical College, [email protected] Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_dissertations Part of the Clinical Psychology Commons Recommended Citation McGovern, Jessica Elaina, "The B( )link Between Amotivation and Dopamine in Psychosis: What Phasic Eye Blink Rate Reveals" (2018). LSU Doctoral Dissertations. 4697. https://digitalcommons.lsu.edu/gradschool_dissertations/4697 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Doctoral Dissertations by an authorized graduate school editor of LSU Digital Commons. For more information, please [email protected]. THE (B)LINK BETWEEN AMOTIVATION AND DOPAMINE IN PSYCHOSIS: WHAT PHASIC EYE BLINK RATE REVEALS A Dissertation Submitted to the Graduate Faculty of Louisiana State University Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Doctor of Philosophy in The Department of Psychology by Jessica Elaina McGovern B.S., University of California at San Diego, 2009 M.A., Louisiana State University, 2015 December 2018 i ACKNOWLEDGEMENTS I am forever grateful to the mentors, family members, and friends who contributed to my professional and personal growth during my tenure at Louisiana State University. First, I would like to thank my academic advisor Dr. Alex Cohen whose guidance and support helped hone my interests. I am especially grateful to Drs.
    [Show full text]
  • Relationship Between Corneal Sensation, Blinking and Tear Film Quality
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Waterloo's Institutional Repository Relationship between corneal sensation, blinking and tear film quality Dr. Daniela S Nosch PhD, MSc., BSc. (Hons.), MCOptom, FBCLA1,2 Dr. Heiko Pult PhD, MSc. (PCO), FAAO, FBCLA, FEAOO1,3 Dr. Julie Albon PhD1,4 Prof. Dr. Christine Purslow PhD, MCOptom, FBCLA, FIACLE1,5 Prof. Dr. Paul J Murphy, MBA, PhD, FCOptom, FAAO, FEAOO1,6 1School of Optometry and Vision Sciences, Cardiff University, Cardiff, United Kingdom 2Institute of Optometry, University of Applied Sciences (FHNW), Olten, Switzerland 3Dr. Heiko Pult - Optometry and Vision Research, Weinheim, Germany 4Cardiff Institute of Tissue Engineering and Repair, Cardiff, United Kingdom 5Plymouth University Faculty of Health and Human Sciences, Plymouth, United Kingdom 6School of Optometry and Vision Science, University of Waterloo, Waterloo, Canada Number of Figures: 5 Number of Tables: 4 Correspondence /reprint address: Dr. Daniela S Nosch Institute of Optometry Department of Engineering, University of Applied Sciences (FHNW) Riggenbachstrasse 16 CH-4600 Olten Switzerland Telephone +41 62 957 26 03 Fax +41 957 26 09 [email protected] Submission date: May 10th 2015 – submission of review: August 6th 2015 Abstract Purpose: To examine the possible role of corneal sensitivity and tear film quality in triggering a blink by investigating the relationship between blink rate, central corneal sensitivity threshold (CST), ocular surface temperature (OST), tear meniscus height (TMH), tear film quality (non- invasive tear break-up time: NIBUT), and tear film lipid pattern, under normal conditions. Methods: Forty-two volunteers (average age: 27.76±5.36 years; 11 males) with good ocular health (OSDI <15.0) were recruited for this cross-sectional cohort study.
    [Show full text]
  • Time Dilates After Spontaneous Blinking Devin Blair Terhune,1,2
    2016, Current Biology, 26, R459-R460 1 Time dilates after spontaneous blinking Devin Blair Terhune,1,2,* Jake G. Sullivan,1 & Jaana M. Simola3 Accumulating evidence from pharmacology, neuroimaging, and genetics indicates that striatal dopamine influences time perception [1-5]. Despite these converging results, it is unknown whether endogenous variations in dopamine underlie transient fluctuations in our perception of time. Here, we leveraged the finding that striatal dopamine release is associated with an increase in spontaneous eye blink rate [6-8] to examine the relationship between intra-individual fluctuations in dopamine and interval timing. In two studies, participants overestimated visual subsecond and suprasecond and auditory subsecond intervals if they had blinked on the previous trial. These results are consistent with the hypothesis that transient fluctuations in striatal dopamine contribute to intra-individual variability in time perception. Dopamine has been repeatedly linked to individual differences in time perception in the milliseconds to seconds range (interval timing) [2, 4, 5]. Dopamine agonists and antagonists produce relative overestimation and underestimation of temporal intervals, as reflected in leftward and rightward shifts of psychometric functions fitted to psychophysical data [1, 3, 9]. Convergent evidence from functional neuroimaging suggests that temporary dopamine depletion through a pharmacological manipulation reduces interval timing accuracy through attenuation in timing-specific activation in striatum [2]. Further research has implicated genetic polymorphisms associated with alterations in striatal and prefrontal dopamine with inter-individual differences in interval timing and brain morphometry in regions widely associated with timing [4]. The cumulative evidence for a role of dopamine in interval timing, however, does not offer any information regarding whether endogenous fluctuations in dopamine contribute to intra-individual differences in timing, namely why our perception of time varies from one moment to the next.
    [Show full text]
  • Eye Complaints in the Office Environment: Precorneal Tear Film Integrity Influenced by Eye Blinking Efficiency
    4 Occup Environ Med: first published as 10.1136/oem.2004.016030 on 21 December 2004. Downloaded from REVIEW Eye complaints in the office environment: precorneal tear film integrity influenced by eye blinking efficiency P Wolkoff, J K Nøjgaard, P Troiano, B Piccoli ............................................................................................................................... Occup Environ Med 2005;62:4–12. doi: 10.1136/oem.2004.016030 To achieve a common base for understanding work related Such eye complaints may be caused by alteration of the precorneal tear film (PTF) that protects eye complaints in the office environment, it is necessary to the outer eye from environmental factors. merge approaches from indoor air science, occupational ‘‘Alteration’’ in this paper is the process of health, and ophthalmology. Based on database searches, it thinning of the PTF followed by rupture (that is, PTF break-up) due to environmental condi- is concluded that precorneal tear film (PTF) alteration leads tions—mainly thermal factors (high room tem- to eye complaints that may be caused by: (1) thermal perature, low relative humidity (RH)), and factors (low relative humidity; high room temperature); (2) indoor pollutants. demanding task content (attention decreases blinking and The stability of the PTF is inter alia influenced by individual physiological characteristics such widens the exposed ocular surface area); and (3) as the composition of (1) the outer lipid layer individual characteristics (for example, tear film alterations, (LL),
    [Show full text]
  • Estimation of Tear Film Break up Time in Normal Peoples of Diwaniya,Iraq
    Estimation of tear film break up time in normal peoples of Diwaniya,Iraq Haider Aswad. Al-Hemidawi* *College of Medicine, University of Al-Qadisia الخﻻصة الغرض من الدراسة: -الغرض من هذه الدراسة هو من اجل قياس وقت انكسار طبقه الدمع العينية وهو فحص لثبات طبقه الدمع عند الناس الطبيعيين. طريقه العمل: -تم اختيار 682 شخص طبيعي اعمارهم بين 26 الى 88 سنه للمشاركة في هذا البحث و تم قياس وقت انكسار طبقه الدمع باستخدام ماده الفلورسين مع المحلول الملحي المتعادل و تحت درجه حراره الغرفة الطبيعية و تم اخذ ثﻻث قياسات لكل شخص. النتائج:- معدل وقت انكسار طبقه الدمع كان 1..2 ثانيه مع معامل انحراف 7,8 كما اثبتت الدراسة ان وقت انكسار طبقه الدمع يقل مع العمر و ليس هناك فارق ملحوظ بين الجنسين . التوصيات: -ان وقت انكسار طبقه الدمع المستخلص من الدراسة هو مشابه لغيره في البحوث المجراه على الشعوب اﻻسيويه و هو اقل من حيث الوقت مقارنه مع الوقت في الشعوب اﻻوربيه , يوصي الباحث بضروره قياس وقت انكسار طبقه الدمع لكل مريض من اجل معرفه ثبات طبقه الدمع لكل مريض. ABSTRACT Objective: to estimate tear film break- up time , a test of tear film stability in normal Iraqi population. Material and method: 286 normal subjects ( 146 male and 140 female ) age from 12 to 78 years were participated in this study, tear break -up time is estimated using impregnated fluorescein strip wetted with normal saline and the measurement is done in one room with stable temperature and door closed , three readings for each subject and the mean is taken . Results: The mean TBUT in this study was 15.3 second with SD 4.7 ( range from 6-28s), the study show TBUT to be decreased with age, The study show significant difference in result between male and female.
    [Show full text]